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Individual

OLIVIA NEELEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
19 LESTER RD, STATESBORO, GA 30458-2119
(678) 481-3479
Mailing address
1881 SS RAILROAD BED RD APT 2903, STATESBORO, GA 30461-8618
(678) 481-3479

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C05704
MD
363A00000X
Physician Assistant
MA056713
PA
363AM0700X
Medical Physician Assistant
Primary
GA

Other

Enumeration date
01/23/2014
Last updated
08/27/2021
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